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2005 National Profile of Local Health Departments Study

Quality Improvement Efforts of Local Health Departments: Findings from the 2005 National Profile of LHDs Study. 2005 National Profile of Local Health Departments Study. Collaboration with CDC Fourth in the Profile series Prior studies in 1989, 1992-3, and 1996-7

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2005 National Profile of Local Health Departments Study

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  1. Quality Improvement Efforts of Local Health Departments: Findings from the 2005 National Profile of LHDs Study

  2. 2005 National Profile of Local Health Departments Study • Collaboration with CDC • Fourth in the Profile series • Prior studies in 1989, 1992-3, and 1996-7 • Census design – includes all LHDs in U.S. • First National Profile to be conducted as Web-based survey • Source of all data in this presentation

  3. Governance Population served Finances Characteristics of top executive LPHA workforce Activities and services provided Community health assessment & improvement Information technology Topics in Profile Core

  4. Detailed information on: Finances LPHA workforce Community health assessment & improvement Information technology Additional Topics: Performance improvement Emergency preparedness Partnerships Policy-making and advocacy Addressing health inequities Topics in Profile Modules

  5. Descriptive Statistics from 2005 Profile of LHDs • Community Health Assessment (core) • Community Health Improvement Planning (core) • Performance Improvement (module) • Accreditation (module)

  6. Community Health Assessment Definition:A community health assessment is the process whereby a local health agency and its community engage in assessing the health needs of their community and investigate adverse health effects and health hazards to create a “snap-shot” of a community’s health.

  7. LHD Participation in Community Health Assessment (CHA)

  8. Participation in CHA: Comparison with 1999 Study

  9. Community Health Improvement Planning Definition:a series of timely and meaningful action steps that define and direct the distribution of health services and resources to improve your community’s health, or definite strategic action steps to improve health status in the community HP 2010 Target: 80% of LHDs have a health improvement plan

  10. LHD Participation in Community Health Improvement Planning (CHIP) Participation in past three years *Of those LHDs that have participated in CHIP

  11. Participation in CHIP:Comparison with 1999 Study

  12. Participation in CHA by State: Version 1 % completed CHA in last 3 years

  13. Participation in CHA by State: Version 2 % completed CHA in last 3 years OR plan to complete in next 3 years

  14. Participation in CHA by State: Version 3 % completed CHA in last 3 years OR plan to complete in next 3 years

  15. LHD Participation in Quality or Performance Improvement Efforts n=423; involvement in past three years

  16. Performance Management Components • Has LHD established Performance Standards? • Does the LHD use Performance Measures? • Does the LHD Report Progress? • Does the LHD have a Quality Improvement Process?

  17. LHD Performance Management Activities n=427

  18. Components of LHD Performance Management Activities

  19. LHD Use of Performance Standards and Performance Measures

  20. Percentage of LHD Programs with Evaluation or QI Efforts n=228 to 418

  21. LHD Participation in Accreditation Programs n=420

  22. LHD Participation in Specific Accreditation Programs n=395

  23. Relationships among Activities

  24. What do LHDs mean by “Quality Improvement”? • Probably a lot of different things! • NACCHO plans to explore this in a survey about LHD quality improvement efforts • Directed to all LHDs who reported some PI/QI activity in the last three years on the 2005 Profile survey

  25. Follow-up QI Survey Topics • Frameworks for performance improvement • Resources for performance improvement • Extent of QI activities (Agency-wide? Several program areas?) • Proactive initiative or grant requirement? • Elements of QI programs • Training for LHD staff

  26. For more information:Carolyn Leep, Senior AnalystNational Association of County & City Health Officialscleep@naccho.org2005 Profile Web site:http://www.naccho.org/topics/infrastructure/2005Profile.cfm

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